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例1 男,23岁。1979年1月因鼻咽癌并两侧淋巴结转移,行~(60)Co颈部深部X线放疗29天,化疗4周,鼻咽部肿物消失,颈淋巴缩小,临床治愈出院。1982年1月,因腕、膝、踝关节对称性肿痛,伴低热,门诊按“类风湿关节炎”治疗无效,7月再次入院。查体:鼻咽部原发灶无复发、双手轻度杵状指。胸片正常。X线片示:双手、双胫腓骨骨膜对称性、平行性增生。两骨骺端骨质稀疏。按风湿性关节炎,治疗3个月,
Example 1 male, 23 years old. In 1979 January due to nasopharyngeal carcinoma and lymph node metastases on both sides, line ~ (60) Co neck deep radiotherapy 29 days, 4 weeks of chemotherapy, nasopharyngeal tumor disappeared, neck lymph contraction, clinical cure and discharge. January 1982, due to wrist, knee, ankle symmetry swelling and pain, with fever, out-patient according to “rheumatoid arthritis” treatment ineffective, re-admission in July. Physical examination: no recurrence of nasopharyngeal primary tumor, both hands light clubbing means. Normal chest X-ray. X-ray showed: hands, bilateral tibiofibular periosteum symmetry, parallel hyperplasia. Two metaphyseal bone thinning. By rheumatoid arthritis, treatment for 3 months,